FDA Adverse Event Malfunction Summary report: N

PROLENE POLYPROPYLENE SUTURE

MDR report key: 67754 · Received February 4, 1997

Report

Report Number
2210968-1997-00013
Event Type
Malfunction
Date Received
February 4, 1997
Report Date
January 6, 1997
Manufacturer
ETHICON, INC.
Product Code
GAW
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

SUTURE BREAKAGE. OUTCOME TO PT DOES NOT DENOTE ADVERSE EVENT. MDR REGULATIONS OF 7/31/96 REQUIRES REPORTING OF INCIDENT COULD RECUR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PROLENE POLYPROPYLENE SUTURE Implant NON-ABSORBABLE SUTURE GAW ETHICON, INC. NA JJE419

Patients

Seq Age Sex Outcome Treatment
1 NO INFO